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非洲裔拉丁裔女性及其婴儿的不良出生结局与孕产妇发病率:一项系统文献综述

Adverse Birth Outcomes and Maternal Morbidity Among Afro-Latinas and Their Infants: A Systematic Literature Review.

作者信息

Parra Alexa, Morales Vanessa, Lebron Cynthia N, Potter JoNell, Pan Yue, Santos Hudson P

机构信息

School of Nursing and Health Studies, University of Miami, 5030 Brunson Dr, Coral Gables, FL, 33146, USA.

Miller School of Medicine, Department of Public Health, University of Miami, 1120 NW 14Th St, Miami, FL, 33136, USA.

出版信息

J Racial Ethn Health Disparities. 2024 Aug 14. doi: 10.1007/s40615-024-02107-9.

Abstract

OBJECTIVES

To evaluate and synthesize research findings on adverse birth outcomes and maternal morbidity among Afro-Latinas and their infants.

METHODS

A systematic review was conducted within PubMed, Web of Science, and SCOPUS databases. Four thousand five hundred twenty-six published peer-reviewed articles from 1970 to 2023 that reported outcomes related to maternal morbidity and/or birth outcomes were screened. After screening, we assessed 22 for eligibility, and ultimately, seven studies were included for data extraction and analysis.

RESULTS

Although limited, the existing studies revealed disparities in abnormal birth weight (LBW & SGA) and higher preterm birth prevalence among Afro-Latinas compared to other racial and ethnic peers. These disparities are also prevalent among U.S.-born Afro-Latinas compared to foreign-born Afro-Latinas.

CONCLUSIONS

By critically examining the current empirical evidence, we can gain a deeper understanding of how intersectionality impacts perinatal health outcomes among Afro-Latinas. Understanding the root causes of these outcomes through increased research is critical to preventing and reducing poor maternal and child health among Afro-Latinas, particularly those who are U.S.-born.

摘要

目的

评估并综合有关非裔拉丁裔女性及其婴儿不良出生结局和孕产妇发病率的研究结果。

方法

在PubMed、科学网和Scopus数据库中进行了系统综述。筛选了1970年至2023年发表的4526篇经同行评审的文章,这些文章报告了与孕产妇发病率和/或出生结局相关的结果。筛选后,我们评估了22篇文章的 eligibility,最终纳入了7项研究进行数据提取和分析。

结果

尽管现有研究有限,但研究显示,与其他种族和族裔的同龄人相比,非裔拉丁裔女性的低出生体重(LBW和SGA)异常及早产患病率更高。与外国出生的非裔拉丁裔女性相比,在美国出生的非裔拉丁裔女性中这些差异也很普遍。

结论

通过严格审查当前的实证证据,我们可以更深入地了解交叉性如何影响非裔拉丁裔女性的围产期健康结局。通过加强研究了解这些结局的根本原因,对于预防和减少非裔拉丁裔女性,尤其是在美国出生的非裔拉丁裔女性的母婴健康不良状况至关重要。

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